Lake Saint Louis Health Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE SAINT LOUIS HEALTH CENTER LLC

Practice address

11104 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1113

Phone

(636) 345-8400

NPI assigned

Feb 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Branden Race, DC

Title

Chiropractic Physician

Phone

(636) 345-8400

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1962034942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-345-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S State St",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522241",
            "country_code": "US",
            "telephone_number": "618-639-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 The Legends Pkwy Ste 158",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630253803",
            "country_code": "US",
            "telephone_number": "636-938-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE SAINT LOUIS HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "636-345-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Muthoni Kimemia, PHD; LPC
• James Matthew Kirks, O.D.
• Alexis Knisley, PA-C
• Jeffrey James Labranche, ABOC, NCLEC
• Lake Saint Louis Chiropractic and Rehab LLC
• Molly Kathleen Larue, PHARMD
• Kristina Leanne Laswell, LPC
• Erica Lynn Leiser, DC
• Christine Marie Linnemeyer
• Liv Behavioral Health LLC

• All providers in Lake Saint Louis, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.